About You

Full Name *

Address *

Phone *

Email *

Participant Birthdate (for minors only)

For Minors Under 18, Name of Parent(s) or Guardian

About Your Horse

Your Horse's Name *

Breed *

Age *

Sex of Horse *

Mare

Gelding

Stallion

**Stallions must be PREAPPROVED by Michael & Julia in order to attend a clinic. *

Does your horse have any allergies or medical conditions? If so, please list them below *

What are your Horsemanship Goals for this Clinic?

Name & Phone Number of Owner (if you do not own the horse)

Emergency Contacts

Emergency Contact Name #1 *

Emergency Contact #1 Phone Number *

Your Relationship to Emergency Contact #1 *

Emergency Contact Name #2 *

Emergency Contact #2 Phone Number

Your Relationship to Emergency Contact #2

Sell Products *

3 Day Performance Clinic in AL - Deposit

$250

*100% secure & safe payments*